Recently, on a Saturday night, I received a call from a fellow obstetrician at an
affiliated community hospital in our system. She had sent a patient to the emergency
department (ED) for methotrexate treatment, as she had done hundreds of times during
her career. However, the ED physician initially refused to administer the medication
stating that he was concerned “given the current legal climate.” As the maternal-fetal
medicine (MFM) physician on call that night, I was faced with consulting on the legitimacy
and legality of this medical management.
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References
Guttmacher Institute. Overview of abortion laws. Available at: https://www.guttmacher.org/state-policy/explore/overview-abortion-laws. Accessed October 14, 2022.
Wisconsin abortion law 940.04. Available at: https://docs.legis.wisconsin.gov/statutes/statutes/940/i/04. Accessed October 14, 2022.
- Abortion surveillance - United States, 2019.MMWR Surveill Summ. 2021; 70: 1-29
- Maternal mortality rates in the United States, 2020.Centers for Disease Control and Prevention, 2022 (Available at:) (Accessed October 14, 2022)
- Maternal morbidity and fetal outcomes among pregnant women at 22 weeks’ gestation or less with complications in 2 Texas hospitals after legislation on abortion.Am J Obstet Gynecol. 2022; 227 (648–50.e1)
Article info
Publication history
Accepted:
October 17,
2022
Received in revised form:
October 14,
2022
Received:
August 16,
2022
Footnotes
A.T. and R.D.L.P. share first authorship.
No other individual except for the authors or any other organization has made substantive contributions to the manuscript.
The authors report no conflict of interest.
The authors report no funding to this manuscript.
Each author has indicated that he or she has met the journal's requirements for authorship. All authors are equal contributors to the manuscript.
Identification
Copyright
Published by Elsevier Inc.
